Individual Healthcare Provider
Fanta Mallard, MEDICAL ASSISTANT
Provider's NPPES record last updated: July 19, 2022
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1598490013
- Primary Specialty
- Independent Medical Examiner
- Practice Location
- Gary, Indiana
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 21, 2026, 3:16 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Independent Medical Examiner
Allopathic & Osteopathic Physicians
A special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues.
Taxonomy code 202C00000X Medical Genetics, Ph.D. Medical Genetics
Other Service Providers
A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists.
Taxonomy code 170100000XDriver
Other Service Providers
A person employed to operate a motor vehicle as a carrier of persons or property.
Taxonomy code 172A00000X
Provider-Reported License Information
- Independent Medical Examiner (Indiana)
- M6S9Q7R7
Practice Locations
Practice Location
578 Tennessee St
Gary, Indiana 46402-1438
Phone: (312) 241-3044
Record Information
- Enumeration Date
- July 19, 2022
- Provider's NPPES Record Last Updated
- July 19, 2022
- Certification Date
- July 19, 2022
- NPISignal NPPES Dataset
- August 2026
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